Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $62.55 / $76.00	Professional		$55.47	$62.55	$76.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $71.51 / $150.68	Professional		$51.48	$71.51	$150.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $83.52 / $83.52	Facility		$83.52	$83.52	$83.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $102.84 / $139.47	Professional		$69.65	$102.84	$139.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.64 / $69.13 / $144.87	Facility		$58.64	$69.13	$144.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $116.03 / $187.07	Professional		$76.34	$116.03	$187.07
United Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $116.08 / $159.88	Professional		$82.99	$116.08	$159.88